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Mr. Lorenzo Southall, CS
Student in an Organized Health Care Education/Training Program in Sun Prairie, Wisconsin
NPI 1497067060

Lorenzo Southall is a Student in an Organized Health Care Education/Training Program based in Sun Prairie, WI. Lorenzo Southall practices in Sun Prairie, WI and has the professional credentials of CS. The NPI Number for Lorenzo Southall is 1497067060 and holds a License No. (Wisconsin).

The current practice location address for Lorenzo Southall is 555 Schiller St., Sun Prairie, WI and can be reached out via phone at 608-341-8249.

Location: 555 Schiller St., Sun Prairie, WI, 53590-2995
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497067060
Provider Name
Lorenzo Southall
Credential
CS
Provider Entity Type
Individual
Gender
Male
Address
555 Schiller St., Sun Prairie, WI, 53590-2995
Phone Number
608-341-8249
Fax Number
Provider Enumeration Date
07/11/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
555 Schiller St.
City
Sun Prairie
State
Wisconsin
Zip
53590-2995
Phone Number
608-341-8249
Fax Number
person
Provider Business Mailing Address Details
Address
555 Schiller St.
City
Sun Prairie
State
Wisconsin
Zip
53590-2995
Phone Number
608-341-8249
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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